Candace Benson
Individual provider Active NPI Registered Dietitian · Lawton, OK
NPI 1699106963 · NPPES record last updated Dec 11, 2013
Key facts
- NPI
- 1699106963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1747 (OK)
- Practice address
- 105 NE 52ND St
Lawton, OK 73507-7371 - Phone
- (405) 659-5717
- NPI assigned
- Dec 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1747 | OK | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1747 | OK | Yes |
Addresses
Primary practice location
105 NE 52ND St
Lawton, OK 73507-7371
Mailing address
105 NE 52ND St
Lawton, OK 73507-7371
Other providers in Lawton, OK
- Kaylee Christinie Belle
- Rosemary Bellino Hall
- Elizabeth Bellofatto
- David Benner
- Caroline Dawn Bennett
- Christopher C. Benson
- Emma Rose Bergmann
- Mercedez Bernard
- Makayla Marie Berry
- Virginia Ann Berry
All providers in Lawton, OK · Registered Dietitian in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.